Provider Demographics
NPI:1598174880
Name:STRANGES, VINCENT R (PHD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:R
Last Name:STRANGES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 SHORE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:OCEAN VIEW
Mailing Address - State:NJ
Mailing Address - Zip Code:08230-1379
Mailing Address - Country:US
Mailing Address - Phone:609-390-4383
Mailing Address - Fax:
Practice Address - Street 1:1217 SHORE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:OCEAN VIEW
Practice Address - State:NJ
Practice Address - Zip Code:08230-1379
Practice Address - Country:US
Practice Address - Phone:609-390-4383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00329600103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist